CMS Price Transparency Data

Blood test, PSA (prostate screen)

Facility: Marinhealth Medical Center

Billing Code: 84153 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84153
  • Insurance Median: $23
  • Cash Discount Price: $8
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Blood test, PSA (prostate screen) at Marinhealth Medical Center is $23. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8. Compared to the federal Medicare reimbursement reference rate of $18.39, this hospital’s rate is 1.25x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.
Cash / Self-Pay
$8

Average discount available for prompt cash payment at this facility.

Insurance Median
$23

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$18.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $18.39 (100%)
Cash / Self-Pay: $8 (44%)
Insurance Median: $23 (125%)
Cash: $8 (44% of Medicare)
Ins. Median: $23 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $18.39 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $10 - $39 54%
Blue Cross Blue Shield $10 - $27 54%
Cigna $10 - $56 54%
UnitedHealthcare $10 - $2,330 54%
Brown And Tolan $18 98%
Healthnet Tailored Network $18 98%
Kaiser $18 98%
Marin Cancer Care $18 98%
Canopy Hill Physicians $23 125%
Healthnet Hmo/Ppo Hill Physicians $23 125%
Hills Blue Shield Hmo/Ppo $23 125%
Ca Prison Health Care Services $29 158%
Healthnet Enhancedcare $48 261%
Provider Network Of America $87 473%
Canopy $106 576%
Blue Shield Cpic/Epo $109 593%
Providers Network Of America $116 631%
Blue Shield Hmo/Ppo $121 658%
Healthnet Hmo/Ppo $123 669%
Blue Shield Aco $126 685%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 250 Bon Air Road, Greenbrae, CA 94904
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals